Türk Nöroşirürji Dergisi 2007 , Vol 17 , Num 2
Cervical Intramedullary Lesion Demonstrating Spontaneous Regression: Tumour? Edema?
Haydar ÇELİK1, Atilla ARSLANOĞLU2, Nafi AYDIN3
1Van Askeri Hastanesi, Radyoloji, Van
2Van Askeri Hastanesi, Nöroşirürji Kliniği, Van
3Johns Hopkins Hastanesi, Radyoloji, Baltimore, ABD
A 71-year-old male patient with the complaints of weakness in the left hand, senserial disturbance in the right index finger and a flushing sensation on the medial side of the left leg was referred to our department for imaging. Magnetic Resonance Imaging demonstrated significant degeneration in the intervertebralve discs at the levels of C4-5 and C5-6. Spinal canal was found considerably stenotic at the level of C5-6 by the displaced disc. At the same level, an enhancing mass at the diameter of 1 cm was identified within the left side of the spinal cord. Initially the lesion was mimicking a tumour, however following a discectomy and fusion operation the lesion just slightly expanded then disappeared on the second follow-up MRI. This unusual finding was therefore interpreted as an edema due to repeated microtrauma by herniated disc and spondylosis. This entity was reviewed in the light of relevant literature. Anahtar Kelimeler : Anterior surgery, Cervical disc hernia, Edema, Intramedullary tumour